| NPI | 1144707480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY FINK SHAPIRO Owner 229-515-8026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW005736) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2023-08-01 |